University of Massachusetts Chan Medical School, Worcester, MA, USA.
Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
J Sch Nurs. 2024 Aug;40(4):440-445. doi: 10.1177/10598405221100470. Epub 2022 May 12.
Asthma morbidity disproportionately impacts children from low-income and racial/ethnic minority communities. School-supervised asthma therapy improves asthma outcomes for up to 15 months for underrepresented minority children, but little is known about whether these benefits are sustained over time. We examined the frequency of emergency department (ED) visits and hospital admissions for 83 children enrolled in Asthma Link, a school nurse-supervised asthma therapy program serving predominantly underrepresented minority children. We compared outcomes between the year preceding enrollment and years one-four post-enrollment. Compared with the year prior to enrollment, asthma-related ED visits decreased by 67.9% at one year, 59.5% at two years, 70.2% at three years, and 50% at four years post-enrollment (all -values< 0.005). There were also significant declines in mean numbers of total ED visits, asthma-related hospital admissions, and total hospital admissions. Our results indicate that school nurse-supervised asthma therapy could potentially mitigate racial/ethnic and socioeconomic inequities in childhood asthma.
哮喘发病率不成比例地影响来自低收入和少数族裔社区的儿童。学校监督的哮喘治疗可改善代表性不足的少数族裔儿童长达 15 个月的哮喘结局，但对于这些益处是否能持续存在，知之甚少。我们研究了 83 名参加哮喘联络项目（Asthma Link）的儿童的急诊就诊（ED）和住院治疗频率，该项目由学校护士监督哮喘治疗，主要服务于代表性不足的少数族裔儿童。我们比较了入学前一年和入学后一至四年的结果。与入学前一年相比，一年时哮喘相关 ED 就诊减少了 67.9%，两年时减少了 59.5%，三年时减少了 70.2%，四年时减少了 50%（所有 - 值<0.005）。ED 就诊总数、哮喘相关住院治疗和总住院治疗的平均次数也显著减少。我们的研究结果表明，学校护士监督的哮喘治疗可能有助于减轻儿童哮喘中的种族/族裔和社会经济不平等。
